Active NPI
Bert Nayfack, M.D.
- Psychiatry Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D0023694
- Practice address
- 201 N Charles St
Suite 200
Baltimore, MD 21201-4102 - Phone
- (410) 576-9191
- Fax
- (410) 576-9257
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D0023694 | MD | Primary |
Addresses
Primary practice location
201 N Charles St
Suite 200
Baltimore, MD 21201-4102
Mailing address
217 Upton St
Rockville, MD 20850-1839
Phone (301) 424-1490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185131400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of California, Irvine, California College of Medicine, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1406 Crain Hwy S
Suite 104
Glen Burnie, MD 21061-4086
Phone (410) 766-6624
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M&M Behavioral Health Solutions | Current | Accepting new patients | |
| University Psychological Center, Inc | Current | Accepting new patients | |
| M&M Behavioral Health Solutions | Current | Accepting new patients |
Locations
185 Admiral Cochrane Dr
Ste 120
Annapolis, MD 21401
185 Admiral Cochrane Dr
Ste 225
Annapolis, MD 21401
Phone (443) 440-5788
21 W 25th St
Baltimore, MD 21218
Phone (410) 366-1717
1406 Crain Hwy S
Ste 104
Glen Burnie, MD 21061
Phone (410) 766-6624
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Glen Burnie, MD
- NPI 1134525710
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Baltimore, MD
- NPI 1841647617
-
- Addiction (Substance Use Disorder) Counselor
- Glen Burnie, MD
- NPI 1508217449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124051768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 UPTON ST",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501839",
"telephone_number": "301-424-1490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N CHARLES ST",
"address_2": "SUITE 200",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014102",
"telephone_number": "410-576-9191",
"fax_number": "410-576-9257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYFACK",
"first_name": "BERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0023694",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185131400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.